Obsessive compulsive disorder and mental illness part 3

Homoeopathic treatment.
Aconite mania , melancholia. Hahnemann says when ever Aconite is chosen homoeopathically, you must above all ,observe the moral symptoms and be careful that it closely resembles them , anguish of mind and body, the restlessness the disquiet not to be allayed . This mental anxiety, worry fear accompanies the most trivial ailment . Anthropophobia and misanthropy has no affection for anybody
Agaricus Delirium of fever, alcoholism etc Delirium characteristerized by singing , shouting and muttering rhymes and prophesies . This remedy should be studied in cases of chorea and epilepsy, spinal irritation , typhoid fever and various diseases of the spinal nerves that are characterized by more or less twitching of the muscles and sharp pains.
Alumina low spirited fears loss of reason. Confused as to personal identity suicidal tendency when seeing knife or blood.
Anacardium Dementia mental weakness.he is possessed two persons or wills . Absent mindedness.
Ant crud Depression great sadness with weeping
Ant tart Great despondency fear of being alone. Muttering, delirium and stupor.
Apis Dementia apathy indifference and unconsciousness, grief can't concentrate mind when attempting to read or study .
Arg nit Mind dementia, madness senile hypochondriac anxiety about certain diseases.Alzheimer's disease senile dementia.
Arnica Fears touch or the approach of anyone , indifference,  inability to perform continuous active work , morose delirious says there is nothing the matter with him . Acrophobia( fear of space) .after mental strain or shock .
Ars Alb Mania neuralgia sleeplessness fears of death of being left alone.Sucidial Hallucinations of smell and sight .lack of courage
Aurum met Talks if committing suicide great fear of death . Anthropophobia. Mental derangements. Oversensitiveness to noise, excitement, confusion.
Belladonna' Mania sleeplessness lives in his own world a host of Hallucinations throng about him and come to him from within. He is actually alive and crazy by a flood of subjective visual impressions and fantastic illusion.
Bryonia Peevishness exceedingly irritable everything puts him out  humour,delirium wants to go home
Cactus grand melancholia tacticum sad I'll humored fear of death anxiety.
Calc Carb Dementia apprehensive worse towards evening low spirited
Calc Phos Peevish forgetful after grief and vexation
Canb ind  Excessive loquacity exuberance of spirits.
Some more remedies according to symptoms
Baptisa Causticum. Chamomilla China Cimcifuga Cocculus, Coffea
Colchicum. Colocynth. conium Cuprum met Digital Fer met  Glonoine Helleborus hepar  Hyoscyamus Ign Lach,Lilium tg Lycopodium. Nat mur. Nux V  Opium Phosphorus Platina Podophyllum Pulsatilla Rhux tox Secale Sepia Silicea Stram  Spongia Stay Sulphur Thuja  Ver Alb  Zinc met.

Ref.
Allen's keynotes
Dictionary of practical materia medica J.H. Clarke.

Obsessive compulsive disorder and mental illness part 2

Therapeutics for psychiatrist illness.
Schizophrenic . Hyoscyamus, Plat, Gel Arg N Staphisagria Phos, Aur Moschus, Aconite Ars Chelidonium Coffea Bufo Manc Camphora Asaf Mez
Delirium
Alcoholic delirium tremens
Agar AtropBell. Can Ind, Caps ,Hyoscyamus ,Stram.
Carphologia ( picking at bed clothes, flocks) Bell Hyoscyamus  Stram
Destructive ( desire to bark bite strike, tear things ) Bell Cantharis Stram Ver a
Dementia
Elliptic dementia Bell Cuprum  Absinth.
Paretic dementia Acon Aesc bad Phos plum met
Senile dementia aur iod bar C Phos Ambra grisea
Syphilltic dementia Kali iod Aur met

Hysteria Ambra Asf cim cocc Croc Gels Ign Kali p mosc Nux M Phos plat pul sep sumb tar h Val zinc v
Vaginismus Aconite bell Berb cactus Cantharis fer p ham Ign Lycopodium Nat mur plat plb Pulsatilla Silicea

References
Principal and practice of medicine dr . V K Chauhan , Dr Meeta Gupta

Obsessive compulsive disorder and mental illness.

Part 1

There are many different conditions that are recognized as mental illnesses.
Anxiety disorders people with anxiety disorders respond to certain objects or situations with fear and dread, as well as with physical signs of anxiety or panic such as a rapid heartbeat and sweating.An anxiety disorder is diagnosed if the person's response is not appropriate for the situation, if the person cannot control of the response, or if the anxiety disorder, panic disorder, social anxiety disorder, and specific phobias.
Mood disorders These , also called affective disorders, involve persistent feelings of sadness or periods of feeling overly happy, or fluctuations from extreme happiness to extreme sadness.The most common mood disorders are depression, bipolar disorder and cyclothymic disorder.
Psychotic disorders Psychotic disorders involve disorders are hallucinations the experience of images or sounds that are not real , such as hearing voices and delusions, which are false fixed beliefs that the ill person accepts ad true, despite evidence to the contrary. Schizophrenia is an example of a psychotic disorder.
Eating disorders involve extreme emotions, attitudes and behaviours involving weight and food.Anorexia nervosa , bulimia nervosa and binge eating disorders.
Impulse control and addiction disorders
People with impulse control disorders are unable to resist urges , or impulses, to perform acts that could be harmful to themselves or others.pyromania ( starting fires) kleptomania( stealing) and compulsive gambling are example control disorders. Alcohol and drugs are common object of addictions. Often people with these disorders become to involved with the objects of their addiction that they begin to ignore responsibilities and relationships.
Personality disorder people with personality disorder have extreme and inflexible personality traits that are distressing to the person and / or cause problems in work school,or social relationships.
Obsessive compulsive disorder(OCD) are plagued by constant thoughts or fears that cause them to perform certain rituals or routines . The disturbing thoughts are called obsessions and the rituals are called compulsions . An example is a person with an unreasonable fear of germs who constantly washes his or her hands .
Post traumatic stress disorder( PTSD) is a condition that can develop and/ or terrifying event, such as sexual or physical assault, the unexpected death of a liver ones or a natural disaster. People with PTSD often have lasting and frightening thoughts and memories of the event, and tend to be emotionally numb .
Mental illness Stress response syndrome occurs when a person develops emotional or behavioral symptoms in response to a stressful events or situation. The stressors may include natural disasters such as an earthquake or tornado , events or crises , such as a car accident or the diagnosis of major illnesses or interpersonal problems.such as a divorce death of a loved one loss of a job or a problem with substance abuse.Stress response syndromes usually begin within three months of event or situation ends within six months after the stressor stops or is eliminated.
Dissociative disorders people with these disorders suffers severe disturbances or changes in memory consciousness identity and general awareness of themselves.tramautic events .
Sexual or gender disorders affects sexual desire performance and behaviours. Sexual dysfunction gender identity disorder and the parapphilias are example.
Somatic symptom disorders experience physical symptoms of an illness or of pain even dr . Can find no medical cause for the symptoms
Tic  disorders sounds or display body movements that are repeated quick sudden uncomfortable.
Therapeutics for psychiatrist illness.
Schizophrenic
Hyoscyamous, Plat, Gelsemium, Arg nit, Staphysagaria, Phosphorus, Aur moschhus,  Aconite,  Ars, Chelidonium,  Coffea, Bufo, Manc,  Camphora,  Asaf,  Mezereum, 
Delirium
Alcoholic delirium tremens
Agaricus Belladonna  Can ind, Caps,  Hyoscyamous,  Stram, 
Carphologia  (pickin at bed clothes, flocks)  Belladonna,  Hyoscyamous,  Stram
Destructive (desire to bark bite strike, tear things) Belladonna,  Cantharis, Stram  ver alb.
Dementia
Elliptic dementia,  Belladonna,  Cuprum,  Absinth, 
Paretic dementia
Aur iod,  Aconite,  Aesculus, Bade,  Phosphorus,  Plumbum met.
Senile dementia
Aur iod,  Bartya carb,  Phosphorus,  Ambra grs.
Syphilitic dementia
Kali iod, ,  Aur met
Hysteria
Ambra grs,  Asaf,  Cimcsf,  Cocculus,  Croc,  Gelsemium,  Ignatia,  Kali phos,  Mosc,  Nux m,  Phosphorus,  Plat,  Pulsatilla,  Sepia,  Sumb,  Tar h,  Val, Zinc v
Vaginismus
Aconite, Belladonna,  Berberies,  Cactus,  Cantharis,  Ferrum phos,  Ham,  Ignatia  Lycopodium,  Nat mur, Plat, Plb, Pulsatilla,  Siliceia.

Sexual disorders in women

Research suggests that the prevalence of sexual dysfunction in women in 25 to 60 percent, the average being 40 percent.
The exact incident is difficult to figure out since a large number of Cases go unreported. This may be due to the prevalent social stigma attached to sexual problems.
However with changing times, more and more women are open about their sexual problems, they have begun to seek treatment to address the issue.
Any problem that prevents a woman from experiencing sexual pleasure can be included under the umbrella term female dysfunction. Thus female sexual may include any of the complaints ranging from lack of sexual desire to absence of orgasm , or anything in between.
It is not unusual for women to experience painful sexual intercourse( dyspareunia) , but this again, is one of the problems that goes unreported.
The good news is understanding the problem communicating adequately with the partner and seeking prompt treatment can help such individuals.
Since most causes are treatable.
Dyspareunia
Common causes of dyspareunia( painful intercourse) include.
Vaginal infections like yeast infection, trichomoniasis and genitals herpes
Vaginal irritation, from use of contraceptive foams , creams jellies condoms and diaphragms.
Vaginismus
This is Involuntary spasm of the vaginal muscles that occurs sexual intercourse.It is also a reflex state caused by anxiety.
Chronic pelvic pain
Diseases like ovarian cysts, utrine fibroids or tumours endometriosis and pelvic inflammatory diseases can lead to pain especially, when there is deep , thrusting penetration .
Vulvodynia
This is chronic condition that presents as unexplained sharp, or burning, pain in the vagina and vulva .
Pain in the clitoris
The clitoris is one if the mist sensitive areas, it is prone to pain at times
Psychological causes . This accounts for anxiety due to painful intercourse or sexual abuse in the past , depression,stress guilt, lack of attraction for , and from partner, and fear of pregnancy.
Diagnosis
Diagnosis of dyspareunia is made largely from the history given by the individual. However, in addition to this, some tests maybe required in intractable Cases , these include pelvic Examination, ultrasonography
Laparoscopy and certain blood test.
Homoeopathy
Homoeopathy had helped a multitude of women to overcome their sexual distress and lead normal sexual lives again.Maby women, for instance, plagued by worries of worsening martial discord have sought homoeopathic treatment for their dyspareunia and other problems, they are happy for having made the right choice of treatment.
The first thing must be borne in mind is that dyspareunia is treatable. With the combined efforts of Homoeopathy and a psychotherapist most women can be helped significantly.. Homoeopathy treats the individual St the level of the body as well as the mind, which is primarily holistic and essential.
A large number of Cases dyspareunia show a positive response after homoeopathic treatment.
Dyspareunia
Precipitating factors
Aversion to sex. Sepia
Dryness of vagina Nat mur
Pain and sensitivity of vagina Platina
Sensitivity of vagina  Lyssin
Tension or anxiety Cuprum met
Vaginismus
During coition  Platina
Painful Coition Arg nit
Pain in vagina/ Vulvodynia
Precipitating factors
After menses Arg.met
Before menses Berberis
Coition   Sepia
Pregnancy Borax
Sitting Staphisagria
Touch   Berberis
Urination. Silicea
Unable to conceive
Precipitating factors
Laxity of vagina  Nat Carb
Leucorrhoea Nat Phos
Profuse menses Nat mur
Utrine inertia Gossypium
Abortion
Precipitating factors
Anger  Chamomilla
Bad news Gels
Cough Kali brom
Exertion  Erigeron
Fall. Arnica

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Heel pain

The plantar fascia is a ligament that connects the heel to the toe
When excess stress is placed on the plantar fascia, one of the major transmitters of weight when walking there is trouble in the making.This is what heel pain is what heel is all about.
How and why
Heel pain or plantar fascitis is a common condition thst affects about 10 percent of the population..
As one gets older, the plantar fascia becomes less like a rubber band , and more like a rope that doesn't stretch well.The fat pad on the heel becomes thinner, it may not absorb as much shock caused by walking like before. The extra shock damages plantar , this may cause it to swell , tear or bruise   you will now detect a bruise , or swelling on your heel .
Symptoms& Diagnosis
Symptoms are typically worse, first thing In the morning, when the plantar fascia is taut , even simple  movements brings on pain. As the fascia loosen , the pain may subside , but can return after prolonged walking or standing .
When one has plantar fascitis, the planter fascia becomes inflamed and sore , making normal activity , or walking painful ..Other indications may be pain felt at the bottom of the heel , usually worse upon rising , or pain that increases over a period of time .
Dr .will enquire about the type of pain you have, when it occurs and how long you've had it, or what gives you relief , or what aggravates the problem .
When required your dr. may advise certain diagnostic imaging , studies   such as an X Ray , so distinguish  the different  types of heel pain ,or out heel spurs .
Homoeopathic treatment
Location
Both heels Aranea did
Left heel  Rhodonderendon
Right heel  Ammonium mur
Cause
Pain felt by shop salespersons due to standing for long periods  Squilla Martima
Wine  Zincum met
Better / worse
Better walking  Valeriana off
Better  evening Pulsatilla
Worse standing  Berb .V
Worse walking  Causticum
Better walking after two three minutes walk Rhus tox
Increased heel bone called Calcaneum  Calc flr

Male Infertility

Infertility refers to the inability of couples to achieve conception regular unprotected sexual intercourse for 1 year . It also includes the inability to carry a pregnancy to the delivery of a live baby.
Although some people still think of fertility as a woman's problem in 20 percent of infertility couples, the problem is solely with the male partner., Infertility in a man may be the only reason that a couple can't conceive, or it may simply add to the difficulties caused by infertility in his partner.
So it's crucial that men get tested fertility as well as women. it's also important that men do it early. Though some guys may want to put off being tested, possibly to avoid embarrassment early testing can spare their partners a great deal of unnecessary discomfort and expense. It's also a good way to quickly narrow down potential problems. Not being able to conceive a child can be stressful and frustrating, but a number of male infertility treatments are available.
Signs and symptoms.
Duration of infertility
Previous fertility in the patient and the partner.
Timing of Puberty( early, normal,or delayed)
Childhood urologic disorders or surgical procedures.
Sexual history.
Testicular cancer and treatment.
Social history( smoking and alcohol use )
Medications
Family history
Spinal cord injury
Pre testicular cause
Hypogonadism due to various causes e.g obesity
Drugs alcohol
Blockages, birth defects, or physical damage
Hormonal problems.
Tobacco smoking
DNA damage.

Testicular factors
Testicular factors refer to conditions where the testes produce semen of low quantity and or poor quality despite adequate hormonal support and include.
Varicocele  that is present in 15 percent of normal men and about 40 percent of infertile men. It probably causes upto 35 percent of primary infertility and 69_ 81 percent of secondary infertility. Varicoceles are enlarged varicose veins that develop in the scrotum and prevent blood from following properly.
Age
Genetic defects on the Y chromosome ( y chromosome microdeletions )
Abnormal set of chromosome
Neoplasm eg Testicular cancer
Idiopathic failure like idiopathic oligospermia .
Cryptorchidism, hydrocele,mums malaria
Trauma
Acrosomal defects affecting egg penetrating.
Radiation therapy to a testis decreases it's functions.
Post Testicular causes
Decrease make fertility, due to conditions that affect the male genital system after Testicular sperm production and include defects of the genital tract as well as problems in ejaculations.
Vas deferens , often related to genetic markers for Cystits fibrosis.
Infections e.g prostatitis.
Impotence
Sexual problems
Erectile dysfunction( impotence) and premature ejaculation. It can be caused by psychological problems such as anxiety,. guilt or low self esteem. It is also caused by physical problems such as diabetes high blood pressure high cholesterol and heart disease.
Sexually transmitted diseases or other infections e.g. Chlamydia and gonorrhoea.
Risk factors to male infertility
Smoking drugs overweight
Over heating the testicles
Having experienced trauma to the testicles.
Having a prior vasectomy or major abdomeninal or pelvic surgery.
Diagnosis
Presence size of testicles
Enlargement or tenderness
Swelling
Spermatic cord
Penis for anatomic abnormalities
Rectum abnormalities of the prostate
Semen volume normal 1.5 _5 ml
Semen quality
Sperm density normal more than 20 million sperm / ml
Sperm motility normal more than 60 percent of sperm having normal movement.
Sperm morphology more than 60 percent of sperm should be normal and fewer than 2_3 percent should be immature.
Signs increased no of white blood cells in the semen
Semen deficiencies
Oligospermia complete lack of semen
Hypospermia  reduced semen volume
Azoospermia absence of sperm cells in semen
Teratospermia increase in sperm with abnormal morphology
Asthenozoospermia reduced sperm motility

Other lab test may be helpful
Antisperm antibody test.
Hormonal analysis
Imaging studies
Transrectal ultrasonography
Scrotal ( detect signs of Testicular dysensis testicular cancer
Vasography
Doppler ultrasonography for varicoceles
Testicular biopsy
Blood sample common hormonal test

Treatment
Agnus
Arg met
Caladium
Conium
Damiana
Floric Acid
Graphite
Lycopodium
Nuphur luteum
Phosphorus
Phosphoric acid
Thuja
Tribulus terre.
Turnea
Selenium

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Menstrual disorders

Monthly shedding of a woman's uterine linning.Though this can be uncomfortable and sometimes problematic, it is the body's way of signifying that the reproductive system is functioning properly.
It is common for women to experience menstrul cycle problems
Types
Premenstrual syndrome(PMS)
Is a combination of physical and emotional or mood , disturbances..It occurs after a woman ovulates and is followed by Menstruation..
Common symptoms include depression, irritability, crying, oversensitivity and mood swings.For some women, PMS symptoms can be controlled with lifestyle changes e.g. exercise, nutrition and family support.
Other symptoms include fatigue, gas breast tenderness( mastalgia) acne, and appitet changes with food cravings.
Painful periods( dysmenorrhea) or painful menses, is a common complaint. It may occur as a result of irregular contractions of the utrine muscles.It may have a hormonal basis in its order of development. The problem may be divided into the following categories.
Mechanical dysmenorrhea caused a result of utrine malfunction.
Congestive dysmenorrhea caused due to jamming in the pelvic organs.
Spasmodic dysmenorrhea caused due to contraction of the utrine muscles.
Heavy periods( menorrhagia) is a functional utrine bleeding, it may be caused owing to imbalance in the production of the two female hormones, oestrogen and progesterone. It may also occur due to the gradual failure of the ovarian function.This can sometimes cause excessive bleeding, extended and unusual bleeding, over a span of time, calls for proper clinical evaluation to rule out tumours in the uterus.
Amenorrhoea is lack of menses, or non occurrence of menstrul flow, in post pubertal women.It may also be related to defective ovarian function. This isn't, of course, the rule in all cases . For instance, amenorrhea during pregnancy is a natrul menstrual phenomenon. However an alarm alarm may be sounded when menses fails anytime between menarche , when it first begins and menopause, when it stops.
There are two forms of the disorder, primary and secondary. The former presents itself when menses have never occurred, the latter. when they have appeared, and are subsequently suppressed.
Primary amenorrhea may emerge when There are anatomical problems in the lower genital tract, for example absent uterus or imperforate hymen
Thyroidal problems may be another cause , as also organic diseases, for example, ovarian tumour . The problem may also erupt with no apparent cause. One may connect them to emotional or psychological underpinnings or distress. Other causes may include anaemia, malnutrition and Tuberculosis.
Symptoms are often variable. They may include headache, heaviness of limbs, respiratory distress, acidity or bloating , exhaustion, nosebleed ( vicarious Menstruation ) swelling if lower limbs and palpation.
Infrequent periods( Oligomenorrhea)
This may occur when Menopause approaches . In this condition, periods of normal duration occur less frequently than once every 26_28 days . For some women, infrequent periods are a norm this may be excess  discharge at the time of ovulation
Leucorrhoea may also be caused as a result of bacterial and fungal infection or from inflammatory or malignant( Tumour) changes in the uterus and fallopian or utrine, tubes .
Menopause The word , menopause refers to the permanent cessation of menses ages now days it  may start 30 years to 58 . It's either a result of a normal physiological event or a consequence of surgery or radiation therapy. Menopause may be divided into 1 physiological and 2 physiological Menopause. The former is related to the failure of ovarian function, the latter to the recognition of the fact that a woman's reproductive life is St it's concluding stage . Some women accept this change without worries, others, owing to myths attached to the expected process , develop anxiety and also emotional upheaval.

Homoeopathic medicines

Amenorrhoea
Disappointment in love Helleborus
Fright Aconite
Grief Ignatia
Overian atrophy Plumbum iod
Temperament
Hysterical women Silicea
Nervous women Ars Alb
Associated with
Asthma Sulphur
Aversion to food Platina
Aversion to sex Nat mur
Backache Aesculus
Constipation Alumina
Cough Sanguinaria
Desires for sex Dulcamara
Loss of appetite Lycopodium
Loss of voice Phosphorus
Milk in Brest Rhus tox after ruling out pituitary tumour
Nose bleed Bryonia
Specific remedy Pulsatilla 30 C under medical supervision

Menorrhagia
Time  Afternoon Nat Sul
Evening Murex
Morning Bovista
Night Msg Carb
Precipitation factors
Abortion Sabina
Dancing Crocus sat
Delivery Caulophyllum
Excitement Calc Carb
Exertion Ambra grisea
Forceps delivery Calendula
Fright Ustilago
Grief Ignatia
Hysterical Platina

Hormonal factors
Before menopause Lach
Menopause  Sarsaparilla
Nursing Phosphorus
Associated with
Fainting Ipec
Mania Sepia
Sleepiness Nux mos

Worse by
Lying down Kreosote
Motion Erigeron can
Sitting Ammoniam Carb
Standing Cocculus
Walking Lilium Tig
Better by
Walking Mag mur
Specific remedy phosphorus 30

PMS
Acne Mag mur
Backache Kali Carb
Constipation Silicea
Cough  Sulphur
Diarrhoea  Bovista
Fever Calc Carb
Headache Belladonna'
Irritability Sepia
Pain in abdomen Colocynth
Pain in extremities Gels
Profuse perspiration Thuja
Wit moody or weeping tendency Pulsatilla

Leucorrhoea
Colour
Black  Secale cor
Bloody Nit acid
Green  Merc Sol
Grey Argt met
Honey colored Nat Phos
Pus like Merc Sol
White Bat mur .
Yellow Sulphur
Consistency
Milky  calc Carb
Sticky Kali bi
Thick Ars Alb
Thin Graphites
Transparent Borax

Extent of discharge
Profuse Silicea
Scanty  Sarsaparilla

According to menstrual variation
After menses Calc Phos
Before menses Bovista
During menses Kreosote
Instead of menses
Ars Alb

Leucorrhoea Odour
Ammonia like Ammonium Carb .
Cheese like Hepar Sulph
Fishbrine like Psorinum
Green corn like Kreosote
During
Daytime only Alumina
Lying Pulsatilla
Night only Causticum
Rest  Fagopyrum
Stool. Viburnum opl
Urination. Calc Carb
Walking Bovista
Dysmenorrhea
Precipitating factors.
Anger Chamomilla
Fright Aconite
Associated with
Constipation Collinsonia
Convulsions Tarentula
Depression Nat mur
Fainting Cyclamen
Fever Fer Phos
Frequent urination Medorrhinum
Horrible Leith crying and weeping Coffea
Irregular menses  Millefolium
Nausea and vomiting Verat Alb
Pain in Breasts  Calc Carb
Sleeplessness Cocculus
Worse by
Flow   Cimcifuga
Motion Borax
Walking Sabina
Better by.
Bending double Colocynth
Discharge of clots Vibr opl
Flow Caulophyllum
Lying Mag mur
Warmth  Ars Alb
Specific remedy Mag Phos

Menopause
Associated with
Anxiety Ars Alb
Arthritis Calc Carb
Depression Kali brom
Diarrhoea API mel
Dullness Folliculinum
Giddiness Crotalus h
Hot flashes Lachsis
Hysteria Ign
Increased sexual desire  Murex
Irritability Sepia
Leucorrhoea Sabina
Nosebleed. Acid Sulph
Sleeplessness Coffea
Weeping tendency Sulphur
Weight gain
Graphites.